Healthcare Provider Details

I. General information

NPI: 1548823206
Provider Name (Legal Business Name): LISA ZHOU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2019
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

299 MADISON AVE
MORRISTOWN NJ
07960-6166
US

IV. Provider business mailing address

1 WORLDS FAIR DR FL 2
SOMERSET NJ
08873-1344
US

V. Phone/Fax

Practice location:
  • Phone: 908-979-1010
  • Fax:
Mailing address:
  • Phone: 732-235-7993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number25MA12395800
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License Number25MA12395800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: